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Clinical Factors Associated with Brucella-Related Epididymo-Orchitis: A Retrospective Cohort Study
Yakup Gezer1, Muhammet Rıdvan Tayşi1
1Infectious Diseases and Clinical Microbiology Clinic, University of Health Sciences, Konya City Hospital, Konya 42020, Türkiye.
Brucella-related epididymo-orchitis (BEO) affects 16.8% of male brucellosis patients, particularly younger individuals with fever and shorter symptom duration. Early consideration of BEO is crucial in endemic areas for patients with acute scrotal symptoms.
Area of Science:
- Infectious Diseases
- Urology
- Epidemiology
Background:
- Brucella-related epididymo-orchitis (BEO) is a frequent genitourinary complication of brucellosis.
- Understanding BEO's clinical and epidemiological profile is essential for timely diagnosis and management.
Purpose of the Study:
- To evaluate the clinical and epidemiological characteristics of BEO in male brucellosis patients.
- To identify clinical factors associated with the development of BEO.
Main Methods:
- Retrospective single-center cohort study.
- Comparison of epidemiological, clinical, and laboratory data between male brucellosis patients with and without BEO.
- Multivariate logistic regression to determine independent predictors of BEO.
Main Results:
- BEO was diagnosed in 16.8% of 262 male brucellosis patients.
- Younger age, presence of fever, and shorter symptom duration were associated with BEO.
- Higher leukocyte counts and C-reactive protein levels were observed in patients with BEO.
Conclusions:
- BEO is a significant complication in male brucellosis patients.
- Younger age, shorter symptom duration, and fever are key indicators for BEO.
- BEO should be considered in the differential diagnosis of acute scrotal symptoms in endemic regions.
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